Individual
JARIELLE MICHELLE MCKINNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
156 SCHOOLHOUSE RD, KILLONA, LA 70057-3042
(985) 210-5397
Mailing address
156 SCHOOLHOUSE RD, KILLONA, LA 70057-3042
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/05/2019
Last updated
06/05/2019
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